Revenue Cycle Manager

Hopedale Medical Complex•Hopedale, IL

6d•$82,500 - $84,000•Onsite

About The Position

Hopedale Medical Complex is seeking an experienced Revenue Cycle Manager to provide leadership and oversight for our Patient Financial Services and revenue cycle operations. The Revenue Cycle Manager is responsible for the effective management and continuous improvement of revenue cycle processes, with a focus on accurate patient account management, timely reimbursement, financial integrity, regulatory compliance, and a positive patient financial experience. This position provides leadership across key revenue cycle functions, including patient registration, billing, accounts receivable, collections, coding, charge capture, reimbursement, and payer requirements. The Revenue Cycle Manager works collaboratively with clinical, administrative, and financial teams to identify opportunities for improvement, reduce financial risk, and strengthen overall revenue cycle performance.

Requirements

Bachelor's degree in Healthcare Administration, Health Information Management, Finance, Business Administration, or a related field preferred.
An equivalent combination of education and experience may be considered.
Minimum of 8 years of healthcare revenue cycle, patient accounting, reimbursement, or related healthcare financial experience.
Progressive leadership or management experience within healthcare financial operations.
Strong knowledge of hospital and physician billing and reimbursement processes.
Strong understanding of accounts receivable management, insurance processes, payer requirements, and revenue cycle workflows.
Knowledge of healthcare compliance and applicable regulatory requirements.
Strong analytical, organizational, communication, and problem-solving skills.
Demonstrated ability to lead teams, manage competing priorities, and drive process improvement.
Ability to communicate effectively and collaborate with clinical, financial, administrative, and executive leadership.

Nice To Haves

Experience working in a hospital or Critical Access Hospital environment.
Experience with TruBridge, CPSI, and/or OrbiPay.
Experience with hospital and physician billing operations.
Knowledge of chargemaster/CDM processes and charge capture.
Experience with payer contracts and reimbursement analysis.
Experience developing and monitoring revenue cycle performance metrics.
Experience leading revenue cycle process improvement initiatives.

Responsibilities

Oversee the daily operations of Patient Financial Services and related revenue cycle functions.
Develop, implement, and monitor strategies designed to improve revenue cycle performance and financial outcomes.
Monitor key revenue cycle metrics, including accounts receivable, aging, denials, collections, write-offs, and billing accuracy.
Identify and address barriers that negatively affect timely reimbursement and cash flow.
Ensure billing processes support accurate, complete, and timely claim submission.
Oversee processes for account follow-up, claim resolution, payment collection, and resolution of outstanding balances.
Monitor registration and patient account processes to improve accuracy and reduce preventable billing issues.
Maintain current knowledge of healthcare reimbursement practices, payer requirements, and industry standards.
Analyze revenue cycle data and trends and use findings to guide operational decisions and improvement initiatives.
Maintain appropriate internal controls related to accounts receivable, cash management, collections, and other financial processes.
Ensure compliance with applicable federal and state regulations, payer requirements, contractual obligations, and HMC policies and procedures.
Promote accurate patient registration, documentation, coding, billing, and reimbursement practices.
Ensure medical record documentation supports appropriate coding and billing.
Monitor payer contracts, reimbursement requirements, and payment practices for compliance and accuracy.
Support charge capture and chargemaster/CDM integrity.
Identify potential compliance, reimbursement, or financial risks and recommend appropriate corrective action.
Maintain appropriate confidentiality and security of patient financial and health information.
Provide leadership, direction, coaching, and support to Patient Financial Services staff.
Establish departmental expectations, priorities, and performance standards.
Monitor staffing needs, productivity, timekeeping, and departmental performance.
Assist with recruitment, selection, onboarding, training, and development of department employees.
Ensure employees receive the education, training, tools, and resources necessary to perform their responsibilities effectively.
Promote accountability and adherence to HMC policies, procedures, and standards.
Foster a collaborative, respectful, and service-focused work environment.
Encourage teamwork and effective communication within Patient Financial Services and across the organization.
Identify opportunities to improve operational efficiency, financial performance, and the patient financial experience.
Lead and participate in revenue cycle improvement initiatives.
Develop and implement process improvements that reduce errors, delays, denials, and unnecessary administrative work.
Collaborate with clinical, administrative, and financial departments to resolve issues affecting reimbursement and revenue cycle performance.
Participate in organizational committees, special projects, and strategic initiatives as assigned.
Provide recommendations and regular updates to executive leadership regarding revenue cycle performance, challenges, risks, and opportunities.
Assist with the development and monitoring of departmental goals and performance measures.